Do I need a Pessary?

 

Patients are candidates for a pessary when…
 There is a need to postpone having surgery
 The patient is a poor surgical candidate – underlying medical problems, age, etc.
 A pessary may be used as a diagnostic tool for physicians to determine if surgery will correct the problem
 The use of a pessary may provide temporary relief while awaiting surgery
 It may hasten postoperative healing: Wearing a pessary prior to surgery helps relieve congestion 
of mucosa and improves circulation to the area
 A patient refuses surgery
 If the patient plans on having children in the future
Contraindication to supportive pessaries:
 Local infections - Active infections of the vagina or pelvis, such as vaginitis or pelvic inflammatory disease, 
preclude the use of a pessary until the infection has been resolved.
 Latex sensitivity - The inflato ball pessary is made of latex therefore, it is contraindicated in women with 
latex allergies. The other pessaries discussed below are nonallergenic.
 Noncompliance - Noncompliance with follow-up could be harmful since an undetected and untreated 
erosion could put the patient at risk of developing a fistula.
 Sexually active women who are unable to remove and reinsert the pessary - Inability to manage the pessary

Do I need a Pessary?

 

Ladies are candidates for a pessary when…

  • There is a need to postpone having surgery
  • The patient does not want to have surgery
  • The patient is a poor surgical candidate – underlying medical problems, age, etc.
  • A pessary may be used as a diagnostic tool for physicians to determine if surgery will correct the problem
  • The use of a pessary may provide temporary relief while awaiting surgery
  • It may hasten postoperative healing: Wearing a pessary prior to surgery helps relieve congestion of mucosa and improves circulation to the area
  • A patient refuses surgery
  • If the patient plans on having children in the future

 

Contraindication to supportive pessaries:

  • Local infections - Active infections of the vagina or pelvis, such as vaginitis or pelvic inflammatory disease, preclude the use of a pessary until the infection has been resolved.
  • Noncompliance - Noncompliance with follow-up could be harmful since an undetected and untreated erosion could put the patient at risk of developing a fistula.
  • Sexually active women who are unable to remove and reinsert the pessary - Inability to manage the pessary